Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $65.38 / $109.35	Professional		$38.70	$65.38	$109.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $144.24 / $257.93	Professional		$74.20	$144.24	$257.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $98.27 / $178.14	Facility		$42.16	$98.27	$178.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $136.54 / $238.70	Professional		$79.54	$136.54	$238.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $138.60 / $324.00	Professional		$65.20	$138.60	$324.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.52 / $98.27 / $178.14	Facility		$42.52	$98.27	$178.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $119.70 / $288.00	Professional		$63.00	$119.70	$288.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $206.34 / $412.68	Professional		$185.71	$206.34	$412.68